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General NPI Number Information
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NPI Number | 1245653609
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Entity Type | Organization
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Legal Business Name | FRONT RANGE FAMILY HEALTH & CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 1047 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4844
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Country | US
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Telephone | 970-667-4062
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Fax | 970-667-5089
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Provider Business Mailing Address
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Address Line | 1047 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4844
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Country | US
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Telephone | 970-667-4062
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Fax | 970-667-5089
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. KELLEN PARK SCHWEITZER
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Credential | D.C., B.S.
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Telephone | 913-777-9022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007085
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License Number State | CO
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